Individual
CHRISTOPHER INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 824-0415
Mailing address
2699 N 17TH ST, COOS BAY, OR 97420-2134
(541) 824-0415
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3952
AL
Other
Enumeration date
04/08/2020
Last updated
08/06/2025
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